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psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-balance-medical-education
October 12, 2012 - Commentary
Systems errors versus physicians' errors: finding the balance in medical education.
Citation Text:
Casarett D, Helms C. Systems errors versus physicians' errors: finding the balance in medical education. Acad Med. 1999;74(1):19-22.
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psnet.ahrq.gov/issue/effects-electronic-prescribing-community-based-providers-ambulatory-medication-safety
March 04, 2015 - Study
The effects of electronic prescribing by community-based providers on ambulatory medication safety.
Citation Text:
Abramson EL, Pfoh ER, Barrón Y, et al. The effects of electronic prescribing by community-based providers on ambulatory medication safety. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/impact-patient-safety-climate-infection-prevention-practices-and-healthcare-worker-and
February 13, 2019 - Study
Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes.
Citation Text:
Hessels AJ, Guo J, Johnson CT, et al. Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes. Am J In…
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psnet.ahrq.gov/issue/technical-evaluation-testing-and-validation-usability-electronic-health-records-empirically
March 01, 2017 - Book/Report
Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization.
Citation Text:
Technical Evaluation, Testing, and Validation of the Usability …
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psnet.ahrq.gov/issue/impact-medicares-nonpayment-program-hospital-acquired-conditions
December 21, 2014 - Review
Impact of Medicare's nonpayment program on hospital-acquired conditions.
Citation Text:
Thirukumaran CP, Glance LG, Temkin-Greener H, et al. Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions. Med Care. 2017;55(5):447-455. doi:10.1097/MLR.0000000000000680.
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psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national
March 04, 2011 - Review
The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop.
Citation Text:
Chou R, Turner JA, Devine EB, et al. The effectiveness and risks of long-term opioid therapy for chroni…
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psnet.ahrq.gov/issue/economic-analysis-prevalence-and-clinical-and-economic-burden-medication-error-england
April 17, 2024 - Study
Economic analysis of the prevalence and clinical and economic burden of medication error in England.
Citation Text:
Elliott RA, Camacho E, Jankovic D, et al. Economic analysis of the prevalence and clinical and economic burden of medication error in England. BMJ Qual Saf. 2021;30(2…
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psnet.ahrq.gov/issue/i-am-administering-medication-please-do-not-interrupt-me-red-tabards-preventing-interruptions
May 12, 2021 - Study
"I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients.
Citation Text:
Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red Tabards Preventing Interruptions a…
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psnet.ahrq.gov/issue/patient-perceptions-deterioration-and-patient-and-family-activated-escalation-systems
June 26, 2024 - Study
Patient perceptions of deterioration and patient and family activated escalation systems—a qualitative study.
Citation Text:
Guinane J, Hutchinson AM, Bucknall T. Patient perceptions of deterioration and patient and family activated escalation systems-A qualitative study. J Clin Nu…
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psnet.ahrq.gov/issue/strategies-prevent-healthcare-associated-infections-through-hand-hygiene
July 03, 2014 - Commentary
Strategies to prevent healthcare-associated infections through hand hygiene.
Citation Text:
Ellingson K, Haas JP, Aiello AE, et al. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol. 2014;35(8):937-960. doi:10.1086/67714…
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psnet.ahrq.gov/issue/situ-interprofessional-perinatal-drills-impact-structured-debrief-maximizing-training-while
October 12, 2009 - Study
In-situ interprofessional perinatal drills: the impact of a structured debrief on maximizing training while sensing patient safety threats.
Citation Text:
Greer JA, Haischer-Rollo G, Delorey D, et al. In-situ Interprofessional Perinatal Drills: The Impact of a Structured Debrief on…
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psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical
March 03, 2021 - Commentary
First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality.
Citation Text:
English M, Ogola M, Aluvaala J, et al. First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and …
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psnet.ahrq.gov/issue/improving-feedback-junior-doctors-prescribing-errors-mixed-methods-evaluation-quality
July 11, 2018 - Review
Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project.
Citation Text:
Reynolds M, Jheeta S, Benn J, et al. Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement proj…
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psnet.ahrq.gov/issue/narrative-review-strategies-increase-patient-safety-event-reporting-residents
December 02, 2020 - Review
A narrative review of strategies to increase patient safety event reporting by residents.
Citation Text:
Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19…
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psnet.ahrq.gov/issue/management-deteriorating-adult-patient-does-simulation-based-education-improve-patient-safety
June 08, 2022 - Review
Management of the deteriorating adult patient: does simulation-based education improve patient safety?
Citation Text:
Bennion J, Mansell SK. Management of the deteriorating adult patient: does simulation-based education improve patient safety? Br J Hosp Med (Lond). 2021;82(8):1-8.…
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psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
June 18, 2019 - Study
Interpersonal and organizational dynamics are key drivers of failure to rescue.
Citation Text:
Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…
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psnet.ahrq.gov/issue/electronic-trigger-detect-telemedicine-related-diagnostic-errors
June 21, 2023 - Study
An electronic trigger to detect telemedicine-related diagnostic errors.
Citation Text:
Murphy DR, Kadiyala H, Wei L, et al. An electronic trigger to detect telemedicine-related diagnostic errors. J Telemed Telecare. 2024;Epub Apr 1. doi:10.1177/1357633x241236570.
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psnet.ahrq.gov/issue/proposed-approach-allegations-sexual-boundary-violation-health-care
October 19, 2022 - Study
A proposed approach to allegations of sexual boundary violation in health care.
Citation Text:
Cooper WO, Foster JJ, Hickson GB, et al. A proposed approach to allegations of sexual boundary violation in health care. Jt Comm J Qual Patient Saf. 2023;49(12):671-679. doi:10.1016/j.jcj…
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psnet.ahrq.gov/issue/reduction-opioid-prescribing-through-evidence-based-prescribing-guidelines
January 27, 2019 - Study
Reduction in opioid prescribing through evidence-based prescribing guidelines.
Citation Text:
Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436.
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psnet.ahrq.gov/issue/systematic-review-natural-language-processing-classification-tasks-field-incident-reporting
October 18, 2018 - Review
Emerging Classic
A systematic review of natural language processing for classification tasks in the field of incident reporting and adverse event analysis.
Citation Text:
Young IJB, Luz S, Lone N. A systematic review of natural language processing for cla…